| Stallant Medical Group Inc | |
|
515 E Washington Blvd Crescent City CA 95531-8342 | |
| (707) 460-1802 | |
| Not Available |
| Full Name | Stallant Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 515 E Washington Blvd, Crescent City, California |
| Authorized Official Name and Position | Robert Steffens (ADMINISTRATOR) |
| Authorized Official Contact | 7074601802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stallant Medical Group Inc Po Box 518 Weimar CA 95736-0518 Ph: (707) 460-1802 | Stallant Medical Group Inc 515 E Washington Blvd Crescent City CA 95531-8342 Ph: (707) 460-1802 |
| NPI Number | 1366082463 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 6406283845 |
|---|---|
| Medicare Enrollment ID | O20200225002364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366082463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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